Procedural pain during venipuncture Signs and Symptoms Procedural pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Gestational age between 28 and 36 weeks 2. Postnatal age less than 28 days
Exclusion criteria
Exclusion criteria: 1. Apgar score less than 6 at 5 minutes 2. Surgery 3. Major congenital anomalies 4. Genetic anomaly 5. Intra-ventricular haemorrhage (IVH) greater than Grade 2 or subsequent periventricular leucomalacia 6. Severe illness as defined by hypo or hyperthermia, need for respiratory support (ventilation or nasal continuous positive airway pressure [CPAP]), inotropic therapy 7. Presence of umbilical catheter 8. Painful procedure in the previous 12 hours 9. Opioid or non-opioid sedation on the 48 hours prior to data collection 10. Diabetic mother 11. Mother with history of substance abuse 12. Mother absent or unable to do kangaroo care for clinical reasons 13. Mother cannot speak/read Portuguese
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain responses measured by: 1. Premature Infant Pain Profile Scores 2. Changes in heart rate 3. Changes in oxygen saturation 4. Changes in behavioural state 5. Percentage of time displaying facial actions 6. Heart rate variability 7. Recovery time Primary outcome measures were taken at baseline (30 seconds before venipuncture); during skin cleansing; needle stick and blood harvesting; compression after needle removal; and rest (up to 5 minutes after the end of the procedure). | — |
Secondary
| Measure | Time frame |
|---|---|
| Mothers' perception of doing Kangaroo Care during venipuncture was obtained between one and six days after the venipuncture occurred. | — |
Countries
Portugal